How can I fix my buttock area: shark bite effect, banana rolls, loose skin? (Photos)

Question

Hi, I am 32 years old (5’7”, 119 lbs) and have always been very slim, but with hips that felt disproportionate. In 2020, I had liposuction on my hips, with incisions under the buttocks to hide scars. The result was asymmetrical and left me with large “banana rolls,” which was already very distressing. After 5 years, I underwent a second liposuction to correct this. I went through this procedure completely alone—in secret, without any of my family or friends knowing, which made it even harder emotionally. While my hips are now more symmetrical, the banana rolls were split, my buttocks have started sagging, and I now have a visible “shark bite” deformity on the left side. I feel absolutely horrible about my body. My self-confidence is very low, and I feel deeply uncomfortable. When I lean forward, the area under my buttocks looks very unattractive, and I can feel loose skin when I walk. I’ve been advised to consider collagen biostimulators or Endolift/Endolyse, but I’m unsure. At 32, I’ve never truly felt comfortable in my body, and it feels like each procedure makes it worse. What would you recommend? Would skin removal be necessary? Thank you.

Mats Hagstrom, MD (license on probation) · Answer

Before we can make a recommendation for an intervention, it’s important. We have a clear understanding of what the problem is.
In this case it will require knowing what was done from your previous to procedures.
Your situation is complex and it’s unlikely anyone will be able to give you an accurate assessment based on the information provided.
To make a quality assessment we need a minimum of before and after pictures of both of your previous procedures and preferably having access to each of the operative reports.
Sounds like the main issue is inappropriate fat removal.
Inappropriate liposuction is extremely difficult to correct.
Sometimes fat transfer can be helpful. Sometimes it can’t. 
It may be time to cut bait and accept the outcome for what it is.
I would be very reluctant to have more fat removed.
At least not in this area.
At this point, you should only be having in person to consultations.
Look for plastic surgeons who focus their practice exclusively on Liposuction and fat transfer.
Most plastic surgeons aren’t very good at Liposuction and men don’t even like doing it.
Mastering body contouring requires a total dedication and has a very long learning curve.
It’s those who think that this is easy work who will love creating most of the problems.
I need a ride provider to work with is inherently difficult.
You’re more likely to find the right provider by having a lot of consultations.
This is time consuming and may include financial cost.
You need to be very careful with any third procedure.
Anyone who thinks that this is easy to correct is probably not the provider you should be working with. I don’t think any of the proposed treatments are going to work and will most likely leave you more disappointed and waste money.
I’m sorry this happened to you.
Best,
Mats Hagstrom MD

How can I fix my buttock area: shark bite effect, banana rolls, loose skin? (Photos)

Answers (1)

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